Metro Hospitals Group

Detail Explanation

1 Year of Graduation The year when a RMO graduate

Date of joined hospital The first date when a RMO joine
Length of service in hospital The period of working years in h
Total years of experience The period of working years as a
Acknowledge year of experience outside hospital Before joining hospital, the expe
rule, as follows : if it is less than
years, it is counted only 50%

Medical Experience Year Adjustment (C) The number of the experience y

RMO interview result

Counted Years of Medical Experience (x) No. Of years experience that is c

2 Prosedur Medical Officer Privilege Benefit (MOPB) :

Ward ICU
1. RMO Attandance √ √
2. Presence in Morning Report √ √
3. Completeness of Medical Record (Initial Assessment,
integrated notes, Discharge summary) √ √

4. Characters and professional performance √ √

5. CME √ √
6. Quality Improvement Program Involvement √ √
7. MCU result within 24 hours

Indicator
1. RMO Attandance One month on time attendance
2. Presence in Morning Report One month presence

3. Completeness of Medical Record of Patient All fields are fully readable written

4. Characters and professional performance No Complain fr patients / supervisor / colleage / nur

In House E&T: EKG Readings, Case Presentation , Mo

5. CME (once a week) Learning (%)
Out of Hospitals E&T: Seminars & Conferences & Cou
6. Quality Improvement Program Involvement Involvement in out of working task
7. MCU result within 24 hours Results received within 24 hours after MCU

1 AMA responsible to record all the result above every month

Eg. January result should be reported in February 15.
2 Calculation for Categories in 2011 based on performance in January - March 2011.
3 RMO Attandance
Based on the on time attandance in working days. (Result sheet in ESA)
4 Presence in Morning Report
Based on the presence in Morning meeting (Result sheet in ESB)
5 Completeness of Medical Record
Every month AMA assigned 2 RMO to audit the completeness of Medical Record among t
Audit tools will be prepared by COMO Team
The auditor in that month will get additional 15 points.
6 Characters and Professional Performance
AMA will summarize the result of Character and Professional Performance based on the o
From Patients / supervisor / colleage / nurses (ESD)
7 CME
AMA will summarize the result of CME from E-learning and others (seminar, case present
8 Quality Improvement Program Involvement
AMA will evaluate the involvement of Quality improvement (ESG)
9 MCU Result within 24 hours
AMA responsibility to collect data for the MCU result (ESH)
e year when a RMO graduated from Medical School
e first date when a RMO joined in hospital
e period of working years in hospital.
e period of working years as a doctor after year of graduation
ore joining hospital, the experience year is numbered with an adjustment
e, as follows : if it is less than 3 years, it is not counted. If it is more than 3
ars, it is counted only 50%

e number of the experience year adjusted by Management after reviewing

MO interview result

. Of years experience that is counted in this formula.

ICCU NICU ETC MCU GP

√ √ √ √ √
√ √ √ √

√ √ √ √ √

√ √ √ √ √
√ √ √ √ √
√ √ √ √ √
√

Indicator Assessment
Time in with ID Card within one month
Sign up on the list one month
In patient form in IPD & ER - SOAP in
dable written
integrated notes (IPD & OPD)

nts / supervisor / colleage / nurses Patient feedback form & sticker

Total educational hours, E-Learning (%) in a

eadings, Case Presentation , Mock Drill, CME,+ E- month
: Seminars & Conferences & Courses)
f working task Evaluation by AMA
in 24 hours after MCU MCU Report in a month

- March 2011.
of Medical Record among them. (ESC)

erformance based on the objective point of view.

ers (seminar, case presentation and death case) (ESE & ESF)
Metro Hospitals Group Filled with :
RMO Attandance Late 0
Month : Apr-21 On time 1

Doctors'
NIK Name Total Working days 26 27 28 29 30 31 1
Code
dr. Otti 12 0 0 0 0 1 0 1
dr. Ivani 12 1 0 1 0 0 1 0
dr. Gisti 20 1 1 1 1 0 1 1
dr. Inge 20 0 1 0 1 1 0 0
dr. Haikal 22 1 0 0 1 1 1 1
dr. Nurul 12 1 0 1 0 0 0 0
dr. Hakim 12 0 1 0 0 1 1 1
dr. Rois 12 0 0 0 0 0 0 0
dr. Icut 12 0 1 0 1 0 0 0
dr. Rico 11 0 0 0 1 0 1 1
dr. Monica Sandra 11 1 0 1 1 0 0 1
dr. Rebekka 13 0 1 0 0 1 0 0
dr. Irianto 11 1 0 1 0 1 1 0
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1 0 1 0 0 0 1 1 0 1 0 0 0 1 1 0 1 0 0
1 1 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 1 0
0 1 0 1 1 L 1 0 1 0 1 1 1 1 0 1 0 1 1
1 0 1 1 1 1 0 1 1 0 1 1 0 1 1 0 1 1 1
1 1 1 1 0 0 1 1 1 0 1 0 0 1 1 1 1 1 0
1 1 0 1 0 0 0 0 0 1 0 0 0 0 1 0 1 1 0
0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 1 1 0 1 1 0 1 0 1 0 1 1 0 1 1
0 1 0 1 1 0 0 0 1 1 0 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 1 0 0 1 0 1 0 0 1 1 0 0 1
0 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1
21 22 23 24 25 Total %

1 0 1 0 0 12 100%
L 1 0 0 0 12 100%
L 1 0 1 0 20 100%
1 0 1 1 0 20 100%
0 1 1 1 1 22 100%
0 1 1 0 1 12 100%
0 1 0 0 1 12 100%
0 0 0 0 1 11 92%
0 1 0 1 0 12 100%
1 0 1 1 0 11 100%
1 0 0 0 1 11 100%
1 0 0 0 1 13 100%
0 0 1 1 0 11 100%
METRO HOSPITALS GROUP
Summary of RMO Point

A. INSTRUMENT OF POLICY
Indicator consists of :
Ward ICU ICCU NICU ED MCU GP
1. RMO Attendance √ √ √ √ √ √ √
2. Presence in Morning Report √ √ √ √ √ √
3. Completeness of Medical Record (Initial Assessment, integrated n √ √ √ √ √ √ √
4. Characters and professional performance √ √ √ √ √ √ √
5. CME √ √ √ √ √ √ √
6. Quality Improvement Involvement √ √ √ √ √ √ √
7. MCU result within 24 hours √

B. INDICATOR
Indicator Assessment
1. RMO Attandance One month on time attandance Time in with ID Card within one month
2. Presence in Morning Report One month presence Sign up on the list one month

3. Completeness of Medical Record of Patient All fields are fully readable written In patient form in IPD & ER - SOAP in integrated notes
(IPD & OPD)

No Complain fr patients / supervisor / colleage /

4. Characters and professional performance nurses Patient feedback form & sticker

In House E&T: EKG Readings, Case Presentation ,

5. CME (once a week) Mock Drill, CME,+ E-Learning (%) Total educational hours, E-Learning (%) in a month
Out of Hospitals E&T: Seminars & Conferences &
Courses)

6. Quality Improvement Program Involvement Involvement in out of working task Evaluation by AMA

7. MCU result within 24 hours Results received within 24 hours after MCU MCU Report in a month
C. TABLE POINT

1. Employee Status Exclusive

1 2 3 4 5

Year of service in MH ≤ 3 months 3 months < 2 years < YS 4 years <YS > 6 years
YS ≤ 2 years ≤ 4 years ≤ 6 years
Point 2 4 5 6 7

2. RMO Attandance
On time attandance % <80% 80%≤A<85% 85%≤A<90% 90%≤A<92% 92%≤A<95% ≥95%
Point 0 1 3 5 10 15

3. Presence in Morning Report

Presence % <80% 80%≤A<85% 85%≤A<90% 90%≤A<92% 92%≤A<95% ≥95%
Point 0 1 3 5 10 15

4. Completeness of Medical Record

completeness MR / audit <80% 80%≤A<85% 85%≤A<90% 90%≤A<95% 95%≤A<99% ≥99%
Point -10 0 3 5 10 25

5. Character and professional performance

Complains compliments
No. of complains and compliments >1 1 0 1 >1
Point -25 -20 5 15 25
6 CME (seminar, case presentatation, Death Case)
Total No. Of Hours 0 4 ≥4
Point 0 10 25

7 Quality Improvement Program Involvement No Yes

Point 0 25
Seminar, case presentation, Saturday presentation, Death Case

8 MCU Results within 24 hours

Percentage of result over 24 hours <95% ≥95%
Point 0 15

9 Admin Role 10

D. MONEY POT
Ward ICU ICCU NICU ETC MCU GP
Distribution Base
Total Patients per doctors √ √ √ √ √ √
Certain Percentage per doctors √
Metro Hospitals Group
Simulation
Sample 1 Sample 2 Sample 3
Instrument Remarks Min Max Result Point Result Point Result Point
1 Employee Status Year of service in MH 0 7 1 4 5 6 5 6
2 RMO Attandance On time attandance % <80% ≥ 95% 79% 0 85% 3 95% 15
3 Presence and punctual in Morning Report Presence and punctual % <80% ≥ 95% 79% 0 85% 3 95% 15
4 Completeness of Medical Record completeness MR / audit <80% ≥ 99% 79% -10 95% 10 95% 10
5 Character and Professional Performance No. of complains and compliments -1 >1 -2 -25 0 5 0 5
6 CME - others Total No. Of Hours ≤4 >4 1 10 3 10 3 10
7 Quality Improvement Program Involvement Involvement yes/no 0 1 0 0 0 0 0 0
8 MCU Results Percentage of result over 24 hours <95% ≥ 95% 0% 0 0% 0 0% 0
9 Additional Point 10 RMO Role (Admin Role) - - -
Total -21 37 61
 Sample 4 Sample 5 Sample 6 Sample 7
Result Point Result Point Result Point Result Point
10 7 18 7 15 7 7 7
95% 15 100% 15 95% 15 95% 15
95% 15 100% 15 95% 15 95% 15
95% 10 0% -10 95% 10 95% 10
0 5 0 5 0 5 1 15
3 10 3 10 3 10 3 10
0 0 1 25 1 25 1 25
0% 0 0% 0 0% 0 0% 0
10 - -

62 77 87 97
Metro Hospitals Group
Summary of Result Sheet
Hospital :
Month : 01-30/4/2021

Doctors' Presence in
Name Year of Service RMO Attandance
Code Morning Report

1 2 3
dr. Otti 5 3 10
dr. Ivani 5 3 10
dr. Gisti 4 3 10
dr. Inge 4 3 10
dr. Haikal 4 3 10
dr. Nurul 4 3 10
dr. Hakim 4 3 10
dr. Rois 4 3 10
dr. Icut 4 3 10
dr. Rico 4 3 10
dr. Monica Sandra 2 3 10
dr. Rebekka 2 3 10
dr. Irianto 2 3 10
 Quality
Character & Skor
Completeness of CME E Improvement Total
Professional Conversion
MR Performance Learning rate Program Point
Involvement

4 5 6a 6b 7
5 5 5 33
3 5 26
5 5 27
5 5 27
5 5 5 32
3 5 5 30
5 5 5 32
3 5 5 30
5 5 5 32
5 5 5 32
3 5 5 28
3 5 5 28
5 5 25
Metro Hospitals Group Filled with :
Morning Report Absent 0
Month : 4/1-30/2021 Presence 1

Doctors' Total no. of morning

NIK Name 26 27 28 29 30 1 2 3 4 5 6 7 8 9
Code report
dr. Otti 12 0 0 0 0 1 1 1 0 1 0 0 0 1 1
dr. Ivani 12 1 0 1 0 0 0 1 1 0 0 0 0 1 1
dr. Gisti 20 1 1 1 1 0 1 0 1 0 1 1 L 1 0
dr. Inge 20 0 1 0 1 1 0 1 0 1 1 1 1 0 1
dr. Haikal 22 1 0 0 1 1 1 1 1 1 1 0 0 1 1
dr. Nurul 12 1 0 1 0 0 0 1 1 0 1 0 0 0 0
dr. Hakim 12 0 1 0 0 1 1 0 0 1 0 0 1 0 0
dr. Rois 12 0 0 0 0 0 0 0 0 1 0 1 1 0 1
dr. Icut 12 0 1 0 1 0 0 0 1 0 1 1 0 0 0
dr. Rico 11 0 0 0 1 0 1 0 0 0 0 1 0 0 1
dr. Monica Sandra 11 1 0 1 1 0 1 0 0 0 1 0 0 1 0
dr. Rebekka 13 0 1 0 0 1 0 1 0 1 0 0 1 1 0
dr. Irianto 11 1 0 1 0 1 0 0 1 0 0 1 1 0 0
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Total %

0 1 0 0 0 1 1 0 1 0 0 1 0 1 0 0 12 100%
0 0 1 0 1 1 0 0 0 1 0 L 1 0 0 0 11 92%
1 0 1 1 1 1 0 1 0 1 1 L 1 0 1 0 19 95%
1 0 1 1 0 1 1 0 1 1 1 1 0 1 1 0 20 100%
1 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 21 100%
0 1 0 0 0 0 1 0 1 1 0 0 1 1 0 1 12 100%
1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 11 92%
1 0 1 0 1 0 1 1 0 1 1 0 0 0 0 1 11 92%
1 1 0 0 1 0 0 0 1 0 1 0 1 0 1 0 12 100%
0 1 0 1 0 0 0 1 0 0 0 1 0 1 1 0 10 91%
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 11 100%
0 1 0 1 0 0 1 1 0 0 1 1 0 0 0 1 13 100%
0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 10 91%
Metro Hospitals Group
Completeness of Medical Record
Month : 01-30/4/2021

Doctors' No. Of audited No. Of Incomplete

NIK Name
Code MR MR
dr. Otti 5
dr. Ivani 3
dr. Gisti 5
dr. Inge 5
dr. Haikal 5
dr. Nurul 3
dr. Hakim 5
dr. Rois 3
dr. Icut 5
dr. Rico 5
dr. Monica Sandra 5
dr. Rebekka 3
dr. Irianto 5
Penilaian Completeness Medical Record :
Penggunaan singkatan yang baku (Mulia Insani belum dibakukan)
Melengkapi S O A P
Jam
Tanggal
Nama
elum dibakukan)
Metro Hospitals Group
Character and Professional Performance
Month : 01-30/4/2021

Doctors' No of No. Of
NIK Code Name Complaints By Whom Remarks Compliments By Whom

dr. Otti
dr. Ivani
dr. Gisti
dr. Inge
dr. Haikal
dr. Nurul
dr. Hakim
dr. Rois
dr. Icut
dr. Rico
dr. Monica Sandra
dr. Rebekka
dr. Irianto
Remarks

5
5
5
5
5
5
5
5
5
5
5
5
5
Metro Hospitals Group
CME - E Learning
Month : 01-30/4/2021

% Modul
NIK Doctors' Code Name
completion
dr. Otti 0
dr. Ivani 0
dr. Gisti 0
dr. Inge 0
dr. Haikal 0
dr. Nurul 0
dr. Hakim 0
dr. Rois 0
dr. Icut 0
dr. Rico 0
dr. Monica Sandra 0
dr. Rebekka 0
dr. Irianto 5
Metro Hospitals Group
CME - Other CME (Seminar, case, Presentation, Death Case)
Month : 01-30/4/2021

NIK Doctors' Code Name Study Hours Topic

dr. Otti
dr. Ivani
dr. Gisti
dr. Inge
dr. Haikal
dr. Nurul
dr. Hakim
dr. Rois
dr. Icut
dr. Rico
dr. Monica Sandra
dr. Rebekka
dr. Irianto
 Date By whom Remarks

30/3/2021 dr Effie SpA

26/3/2021 dr Alan SpOG

Metro Hospitals Group Filled with :
Quality Improvement Program Involvement Yes 1
Month : 01-30/4/2021 No 0
Evaluation by AMA
Involvement
NIK Doctors' Code Name Remarks
(Yes/No)
dr. Otti NO 0
dr. Ivani NO 0
dr. Gisti NO 0
dr. Inge NO 0
dr. Haikal NO 0
dr. Nurul NO 0
dr. Hakim NO 0
dr. Rois NO 0
dr. Icut NO 0
dr. Rico NO 0
dr. Monica Sandra NO 0
dr. Rebekka NO 0
dr. Irianto NO 0